Conception

Polyabortion after the age of 40

Hello, I have been looking for a pregnancy for 7 years and now I am 44 and I have obviously lost all hope since I turned 40.

From 2010 to today I have had seven pregnancies ended in abortion. I have carried out all the tests possible in the current state of medicine and nothing has been found to cure, neither in me nor in my husband. I went to geneticists, where we did a karyotype with the FISH technique in addition to the normal one, I did an endometrial biopsy, stereosalpingography, 3D ultrasound, hormonal, immunological and coagulation factor tests.

I still ovulate regularly and rarely have anovulatory cycles. I monitored my cycles from 2009 to 2014 (then I got bored) and I could see the trend of temperature, I also used ovulation sticks and I always got pregnant when I wanted because I guessed the fertile period.

Normally I also immediately realize that I am pregnant because I have quite recognizable symptoms and I take the test just to be sure, but I already know I am pregnant.

My endometrium is growing well, the eggs are normal in shape and size (I had three monitorings a couple of years ago). My husband has also been thoroughly examined. The explanation that has always been given to me since the first abortion (age 38) is: “Madam, your eggs are old”.

Despite this, I am surrounded by women of my age who have children peacefully, and I ONLY take into consideration those I am sure are natural pregnancies (no PMA, no egg donation).

I know at least a dozen who have decided to have a child at 38, 39, 40 and even beyond and have perhaps had one or two abortions but then have succeeded without problems. Some even started with me and now I’m on my third child.

Not to mention some of my acquaintances who had children at a young age and at 40, 42 or even 46 became pregnant with their third “unwanted” child. I’m not one of those people who don’t believe in the age explanation for abortions, on the contrary, but I would really like to understand how much age matters and how much there could be a currently unknown problem that makes me different from the others.

Because if the ova are old at 38, even more so at 42, yet I know 42 year olds pregnant after 4 abortions! Or 46-year-olds who got pregnant by mistake and carried the pregnancy to term without problems. I, on the other hand, have only ever had an abortion. Can’t it just happen that you find a healthy egg?

dear Mrs
 you know everything very well and I realize that your history is long and painful. What we know is that at 44, 90% of the embryos that form are chromosomally altered and this is the reason why the risk of miscarriage for all 44-year-olds is over 60%.
It is not impossible to find a healthy embryo, but not very likely, in vitro fertilization with preimplantation diagnosis could be considered to study the chromosomal arrangement of the embryos and significantly reduce the risk of having a new miscarriage, but the percentages of having a baby born are around 5%.
Or I would also evaluate egg donation which certainly represents the most effective technique.

A warm greeting

Kathryn Barlow is an OB/GYN doctor, which is the medical specialty that deals with the care of women's reproductive health, including pregnancy and childbirth.

Obstetricians provide care to women during pregnancy, labor, and delivery, while gynecologists focus on the health of the female reproductive system, including the ovaries, uterus, vagina, and breasts. OB/GYN doctors are trained to provide medical and surgical care for a wide range of conditions related to women's reproductive health.

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